Transcript Highlights:

• And so that's going to cost the facility roughly $750,000. That was not budgeted."
• We do have a pretty strong staff of physicians, both inpatient and outpatient.
• So we'll start with an assessment of each facility. workforce in the future.
• So we'll start with an assessment of each facility. Survivable, but thriving.
• So we start with an assessment of each facility.

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• They dealt with limited pool space, switching facilities all season, and still showed up and handled

Bills: HB2894, HB3418, HB3415, HB3413, HB3414, HB3416, HB3417, HB3419, HB3420, HB1739, HB1752, HB1979, HB2941, HB2992, HB3075, HB3086, HB3177, HB3269, HB3278, HB3279, HB3497, HB3644, HB4432, HB3720, HB3849, HB3882, HB3919, HB3941, HB4118, HB4141, HB4268, HB4342, HB4428, HB4429, HB4434

Keywords: HB2894, Oklahoma Rural Jobs Act, rural jobs, rural investment, tax credit, capital investment tax credit, state tax credits, economic development, rural fund, rural investor, qualified investment, eligible business, Department of Commerce, rural business, investment certification, tax liability, credit cap, workforce development, small business finance, rural development

Transcript Highlights:

• So, this bill requires large load data centers and crypto mining facilities to pay their portion.

Bills: HB2894, HB3418, HB3415, HB3413, HB3414, HB3416, HB3417, HB3419, HB3420, HB1739, HB1752, HB1979, HB2941, HB2992, HB3075, HB3086, HB3177, HB3269, HB3278, HB3279, HB3497, HB3644, HB4432, HB3720, HB3849, HB3882, HB3919, HB3941, HB4118, HB4141, HB4268, HB4342, HB4428, HB4429, HB4434

Keywords: HB2894, Oklahoma Rural Jobs Act, rural jobs, rural investment, tax credit, capital investment tax credit, state tax credits, economic development, rural fund, rural investor, qualified investment, eligible business, Department of Commerce, rural business, investment certification, tax liability, credit cap, workforce development, small business finance, rural development

Transcript Highlights:

• They dealt with limited pool space, switched facilities all season, and still showed up and handled business

Bills: HB2894, HB3418, HB3415, HB3413, HB3414, HB3416, HB3417, HB3419, HB3420, HB1739, HB1752, HB1979, HB2941, HB2992, HB3075, HB3086, HB3177, HB3269, HB3278, HB3279, HB3497, HB3644, HB4432, HB3720, HB3849, HB3882, HB3919, HB3941, HB4118, HB4141, HB4268, HB4342, HB4428, HB4429, HB4434

Keywords: HB2894, Oklahoma Rural Jobs Act, rural jobs, rural investment, tax credit, capital investment tax credit, state tax credits, economic development, rural fund, rural investor, qualified investment, eligible business, Department of Commerce, rural business, investment certification, tax liability, credit cap, workforce development, small business finance, rural development

Summary: The Senate began with ceremonial recognitions for several student groups and community visitors, including Carl Albert High School’s boys and girls swim teams, the Lady Titans basketball team, and the Choctaw High School speech and debate team. Senators and coaches highlighted the teams’ state championships, academic achievements, and perseverance, and the chamber also welcomed visiting groups from Aline, Owasso, and Tulsa County. After the presentations, the Senate returned to general order and took up a series of House bills. Among the measures considered, House Bill 3720 expanded the Local Food Freedom Act by raising the gross annual sales threshold for local food establishments from under $75,000 to $250,000; it passed 39-4. House Bill 3849 updated the Oklahoma mentoring children of incarcerated parents program and passed 42-1. House Bill 3882 created a revolving fund for industrial and lake access improvement projects and passed 33-9, then also passed the emergency clause 39-4. House Bill 3919 reduced county free fair association boards from nine members to five to address quorum problems and passed 45-0. House Bill 3941 codified a pay raise for a court secretary and passed 45-0, including its emergency clause. House Bill 4118 updated the family caregiver tax credit and passed 44-1. House Bill 4141 removed the sunset on the statewide sexual assault nurse examiner coordinator position and passed 45-0. The chamber also debated several policy bills more extensively. House Bill 4268 created a growth-based teacher compensation program using Oklahoma Teacher Empowerment Funds and restored a $5,000 stipend for national board-certified teachers; it passed 45-0 and its emergency clause also passed 45-0. House Bill 4342 allowed prior instances of domestic violence or abuse to be admitted as propensity evidence in court, with supporters saying it would help interrupt the cycle of abuse and opponents raising due process concerns; it passed after debate. House Bill 4428 required public pension plans to base proxy voting decisions solely on financial considerations, and House Bill 4429 required proxy advisors to disclose when recommendations were not based on financial analysis; both passed after debate, 35-8 and 37-7 respectively. Two Rule 7-9 motions to pull House Bills 4422 and 4423 from committee and place them on general order failed by recorded vote. The Senate then announced Denim Day for domestic violence and sexual assault awareness, noted a few final reminders, and adjourned until April 29, 2026, at 9:00 a.m.

Transcript Highlights:

• coordinator uh access to the facilities coordinator uh access to the facilities at<00:08:26.960>
• Donaldson Correction Facility. Donaldson Correction Facility.
• They come to the facility. You're right.
• have to come to the facility to unload. have to come to the facility to unload.
• in DHR homes or in DHR uh facilities in DHR homes or in DHR uh facilities that<01:02:46.480>

Bills: HB426, SB24, SB106, SB254, HB505, HB458, HB535, HB509, HB320, HB518, HB261, HB426, SB24, SB106, SB254, HB505, HB458, HB535, HB509, HB320, HB518, HB261, SB316, HB228, SB318, SB260, HB132, HB347, HB405, HB86, HB263, HB302, SB336

Keywords: Alabama Ad Valorem Advisory Committee, ad valorem taxes, property tax, real property, personal property, tax assessment, tax collection, county tax officials, Department of Revenue, Commissioner of Revenue, taxpayer representation, resident taxpayers, local government, property tax administration, Association of Alabama Tax Administrators, tax policy, advisory committee, public input, governance reform, body-worn camera

Transcript Highlights:

• subsection 6 is the one that assesses, or deducts from the fine, interest payments if a medical facility
• So that's for the hospitals and other facilities.
• we do support prevailing wage on public works, this bill would require it at permanent off-site facilities
• we do support prevailing wage on public works, this bill would require it at permanent off-site facilities

Bills: AB6, AB102, AB131, AB212, AB213, AB220, AB259, AB282, AB376, AB396, AB479, AB503, AB570, AB572, AB574, AB576, AB593, SB185, SB207, SB507, AB6

Keywords: fetal alcohol spectrum disorder, FASD, prenatal alcohol exposure, children's health, developmental disability, early intervention, treatment assistance, Aging and Disability Services Division, Department of Health and Human Services, Autism Treatment Assistance Program, public health, parent education, evidence-based treatment, Nevada NRS 427A, disability services, behavioral health, emergency medical services, ambulance, licensing, health district

Transcript Highlights:

• And so that's going to cost the facility roughly $750,000. That was not budgeted.
• We do have a pretty strong staff of physicians, both inpatient and outpatient.
• So we'll start with an assessment of each facility. workforce in the future.
• So we'll start with an assessment of each facility. Survivable, but thriving.
• So we start with an assessment of each facility.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• And so that's going to cost the facility roughly $750,000. That was not budgeted."
• So we'll start with an assessment of each facility.
• So we'll start with an assessment of each facility. Survivable, but thriving.
• So we start with an assessment of each facility.
• MEP continues to rough in throughout the facility, currently focusing on area B.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• From a fiscal standpoint, vasectomies are a cost-effective solution, a one-time outpatient procedure,
• From a fiscal standpoint, vasectomies are a cost-effective solution, a one-time outpatient procedure,
• Two months later, my situation worsened, and I was admitted into an inpatient facility after my mental
• <01:19:30.880> after<01:19:31.080> my<01:19:31.239> mental impatient facility
• after my mental impatient facility after my mental health<01:19:31.840> continued<01:19:32.280

Keywords: 1187, senate, all

Transcript Highlights:

• by the state, a state health facility.
• We have a good pathway in Title 36 into these facilities. We just need to get the facilities built.
• We do not have those facilities right now.
• , then they can choose a facility that allows that.
• , then they can choose a facility that allows that. ...bedroom, then they can choose a facility that

Keywords: 1182, all

Summary: The committee first took up House Bill 2307, as amended, which would require the Department of Health Services to contract with out-of-state secure mental health facilities when Arizona beds are unavailable for certain involuntary commitment cases involving defendants found dangerous and incompetent. The sponsor and supporters framed it as an emergency stopgap to prevent individuals who are deemed non-restorable from being released because Arizona lacks secure behavioral health beds, while opponents argued it would raise due process, disability rights, family access, and cost concerns, and questioned whether the state could even implement such interstate placements. After debate, the committee adopted the strike-everything amendment and advanced HB 2307 on a 6-5 due pass vote. The committee then heard House Bill 2083, which updates diabetes-related coverage language in health plans to include newer devices and supplies such as continuous glucose monitors, insulin pumps, and smart insulin pens. Supporters said the bill modernizes outdated statutes and improves access and outcomes for people with diabetes, while an insurer representative offered soft opposition, warning that writing these items into statute could create a state mandate and potential cost exposure, especially if the language is read to include GLP-1 medications. The committee adopted the strike-everything amendment and moved HB 2083 forward on an 11-1 due pass vote. Next, House Bill 2673 was heard, addressing mental health screening and treatment for incarcerated people. The sponsor said the bill was being reworked into a study committee concept after stakeholder feedback, but the underlying proposal would require prompt evaluation of prisoners showing mental disorder symptoms and faster referral for treatment. A family member testified about her son’s severe deterioration in jail and death, while an attorney opposed the bill as overbroad and legally problematic. Despite the sponsor’s indication that the bill would become a study committee, the committee voted 12-0 to give HB 2673 a due pass recommendation. The committee also advanced House Bill 2923, which revises timelines, procedures, and notice requirements for judicial review of court-ordered mental health treatment; supporters said it clarifies outdated language and improves communication with families, while opponents argued it shifts burdens onto patients and could prolong confinement. HB 2923 also received a 12-0 due pass vote.

Transcript Highlights:

• In 2013, Ector County Voters rejected a 95 million dollar bond proposition for the facility.
• In 2019, Travis County issued approximately $273 million in COs for the facility anyway.
• , jails, and juvenile detention facilities.
• Police training facilities, that sort of thing.
• We'd also like to see if possible some clarification on multi-use facilities.

Bills: HB1453, HB1718, HB2043, HB2207, HB2798

Keywords: local governments, anticipation notes, certificates of obligation, public works, flood control, financial management, local government, municipal financing, private activity bonds, closing definition, real estate finance, bond issuance, government regulation, bond election, general obligation bonds, GO bonds, political subdivision, city bonds, county bonds, school district bonds

Transcript Highlights:

• ,<01:08:45.839> hospital<01:08:46.400> facility, to nursing facility, hospital facility
• , to nursing facility, hospital facility, or<01:08:47.319> ICF/IID or ICF/IID or ICF/IID facility
• care facilities. care facilities.
• a facility. a facility.
• >> Outside of a facility. >> Outside of the facility and yes, okay.

Keywords: 958, all

Transcript Highlights:

• If the facility fails to follow all the requirements, facilities are barred from participating. in and
• State policies that pay the same for poorly staffed facilities. as well as staff facilities, encourage
• , and age facility takes more money.
• That cost report for facilities is actual cost.
• So, it's that facility cost.

Keywords: 1185, senate, all

Transcript Highlights:

• We certify nearly 270 assisted living facilities.
• Where do we need those facilities? Where do we need those services?
• Similarly, recognizing the important role that nursing facilities play in our health care continuum,
• new this year, we stood up a similar centralized dashboard for nursing facilities with key financial
• Harm events also happen in long-term care facilities, outpatient care, even home care.

Keywords: 995, all

Summary: The committee heard budget testimony from Department of Mental Health Commissioner Brooke Doyle, who said DMH serves about 29,000 people and is facing rising demand, higher operating costs, and uncertainty about federal funding. She explained that the FY26 budget prioritizes fully funding the state-operated inpatient system, which is at 100% occupancy and often serves people transferred from Bridgewater State Hospital, while making reductions in other areas to balance the budget. Those reductions include a 50% cut to case managers, a pause on closing the Pocasset unit pending a working group on Cape access, and changes to youth and contracted services such as right-sizing IRTP and CIRT, reducing Youth PACT from seven teams to three, scaling back flex and jail diversion grants as ARPA funds wind down, and preserving the behavioral health helpline and community-based crisis services. Members from Western Massachusetts and the Cape raised concerns about access, staffing, and the impact of cuts, and Doyle said the department would continue operating IRTP services, improve the referral process, and work with stakeholders on the Pocasset review and other access issues. The committee also discussed school-based mental health, 988, loan forgiveness for workforce recruitment, and the role of co-response programs for law enforcement. Secretary Robin Lipson then testified for the Executive Office of Aging and Independence, describing a proposed FY26 budget increase of about 21% to support councils on aging, home care, elder abuse investigations, caregiver support, care transitions, and nutrition programs. She said the agency is managing rising demand, especially from the growing 80-plus population, and noted uncertainty around federal Older Americans Act funding after the federal disbursement agency was disbanded. To control costs, the office will manage intake and caseload growth in a fully state-funded home care program, but current clients will not lose services. Lipson also highlighted a new $1 million line item for local mini-grants to support age-friendly initiatives. In questions, members focused on elder scams, and Lipson said scams are increasing and the agency is working with banks, district attorneys, and public awareness campaigns. The Health Policy Commission’s Executive Director David Seltz presented the agency’s FY26 request and said the biggest challenge is health care affordability, with family premiums near $29,000 annually and many residents delaying care because of cost. He emphasized that recent legislation significantly expands HPC’s role through a new Office of Pharmaceutical Policy and Analysis, which will examine the drug supply chain and pricing, and a new Office of Health Resource Planning, which will support statewide planning around closures and access gaps. The new law also creates task forces on maternal health access and primary care, and adds transparency and oversight for private equity in health care. Members asked about pharmaceutical costs, GLP-1 weight-loss drugs, 340B, and maternal health closures; Seltz said the data show rapid growth in GLP-1 spending and that the new offices will help the state better understand cost drivers and access problems. The Center for Health Information and Analysis then began its testimony, describing its role as the state’s data hub for health care spending, utilization, quality, and affordability analysis.

Transcript Highlights:

• can choose those facilities as well.
• Which facilities, there are facilities that allow cameras, and this will make it easy for seniors to
• to choose those facilities without having, as Senator Dunn mentioned, calling different facilities or
• or a tribal facility.
• or a tribal facility Senate Bill 1776 adds urban Indian organizations to the list of facilities allowed

Bills: SB1014, SB1094, SB1146, SB1177, SB1192, SB1194, SB1214, SB1372, SB1390, SB1398, SB1399, SB1494, SB1557, SB1561, SB1564, SB1602, SB1603, SB1621, SB1628, SB1629, SB1713, SB1752, SB1776, SB1813, SB1814, SB1821

Keywords: gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation

Transcript Highlights:

• closed in North Conway, 45 bed facility closed in North Conway, 45 bed facility last<01:33:54.159
• facilities saw a cut over 30 facilities facilities saw a cut over 30 facilities saw<01:41:04.719
• > that<01:43:59.360> had facility that I referenced that had facility that I referenced
• Chairman, in facilities.
• It was really wonderful facilities.

Keywords: 1189, house, all

Transcript Highlights:

• Since then, they have four Since then, they have four manufacturing facilities across America that produce
• An outpatient procedure gone horribly wrong caused medical expenses of more than $10 million in a lifetime
• been hurt through no fault of their own, doing the thing that they want to, going to the medical facility
• House Bill 173 relates to state correctional facilities, visitation policies, annual report.
• down to just a half mile from the entrance to a mass transit or public transportation station or facility

Keywords: March 10, 2026 - Regular Session, 976, house, all

Transcript Highlights:

• A one-time outpatient procedure is significantly less expensive than long-term contraceptive methods.
• A one-time outpatient procedure is significantly less expensive than long-term contraceptive methods.
• A one-time outpatient<00:19:59.039> procedure<00:19:59.440> is<00:19:59.840> significantly
• outpatient procedure is significantly outpatient procedure is significantly less<00:20:00.880>

Keywords: 1187, senate, all

Transcript Highlights:

• proposed advances would be for in-office procedures, not involving invasive surgery, operating rooms, outpatient
• involving invasive surgery operating involving invasive surgery operating rooms<00:37:13.599> Outpatient
• <00:37:14.119> Surgical<00:37:14.560> centers<00:37:15.040> or rooms Outpatient
• Surgical centers or rooms Outpatient Surgical centers or utilizing<00:37:15.880> general utilizing
• My outpatient surgeries are currently scheduled out two weeks from now in Fargo as well as two weeks

Keywords: 1187, senate, all

Transcript Highlights:

• Steber, is currently the outpatient pediatric psychologist for them.

Bills: SB683, SB1579, SB1389, SB1387, SB1390, SB1391, SB2063, SB1829, SB2060, SB1842, SB1398, SB1212, SB2158, SB102, SB1772, SB1958, SB2010, SB1595, SB1687, SB1684, SB2049, SB1966, SB1989, SB1191, SB1258, SB1920, SB1936, SB2143, SB2122, SB330, SB2071, SB2169, SB2069, SB2095, SB2157, SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: education, tax credit, student support, private school, Oklahoma Parental Choice Tax Credit, financial assistance, homeschooling, qualified expenses, property tax, valuation increase, taxpayer rights, homestead, protest process, school choice, tuition assistance, income limits, parental choice, accreditation, sales tax, motor vehicles